Adaimy, Mark J
Adaimy, Mark J is an sole proprietor health care provider with primary practice located at 2820 W Charleston Blvd Ste 33 , Las Vegas NV 89102-1934. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Adaimy, Mark J can be contacted via phone (702) 880-1558.Contact Information
Primary practice address
2820 W Charleston Blvd Ste 33
Las Vegas NV 89102-1934
Phone: (702) 880-1558
Fax: (702) 870-6821
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 10589 | Nevada |
Profile Details
| NPI number | 1659467769 |
|---|---|
| LBN Legal business name | Adaimy, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659467769 | NPPES |
| Nevada | MEDICAID | 100511653 |
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